Thank you for your interest in obtaining a quality
Havanese puppy from
Brandmar. Please complete the following information and
click send when you are done This questionnaire is intended to protect the dog and the buyer in three ways: finding a
suitable and permanent home for my puppies, match making to make sure I get the right puppy into the right
home, and to identify areas where more breed information is needed.

Name:

*
Required

Address:

City:

State:

Zip:

Phone:

*
Required

Fax:

E-mail:

*
Required

If you have lived at your current address less than two (2) years, please give your previous
address:

Who referred you to us or how did you find
Brandmar?

Do you know someone with a
Havanese or are you a current or past owner of
one?

If this is a new breed for you, have you ever “met” a
Havanese before in
person?

Why have you decided that a
Havanese is the right breed for you?

Do you have a fenced yard or have another suitable pen for your Havanese?

Do you have any children/grandchildren who will be able to play with this dog?

If yes, how many? What ages?

Is anyone in your family allergic to pets?

Who will be the primary caregiver of this puppy?

Where will the puppy be kept during the day?

On average, how much time will you have to spend with your
Havanese each day?

On average, how much time will the puppy be left alone each day?

What will you do with the puppy/dog when you go away on trips?

Will someone be available to feed/exercise the puppy during the day if you are not home? Who?

Have you ever given away or turned a pet over to a shelter, pound or rescue group?

Do you currently own any other pets?

If yes, what kind and how many.

Will this be your first dog in a long time?

Are you mainly interested in just a companion dog versus a performance and/or conformation dog to show?

Companion
Performance
Show

Are you willing to take your puppy to a basic socialization and/or obedience class to get training for your puppy?

Are you aware of the grooming requirements for a
Havanese?

Do you enjoy brushing enough to commit to spending at least 15 to 30 minutes every other day to maintain a
Havanese coat?

Do you intend to breed this dog? If the answer is yes, unless you are a person
who I know well and/or come very highly recommended to me, you may as well look for another breeder as I do not generally sell
my puppies for breeding.

Do you understand the differences between a limited registration and a full registration?

Are you willing to sign a spay/neuter contract if purchasing a puppy that is just to be a companion?

Do you understand that for the life of this dog, I, as its breeder, have the responsibility to ensure a good quality of life for this animal, and therefore, if for any reason you are unable to keep this dog, I must be contacted immediately even if you have located a suitable home for this dog?

What type of dog are you looking for to fit into your family, i.e. high energy/low energy/good with children/good with other animals/good with the elderly?

High Energy
Low Energy
Good with children
Good with other animals
Good with elderly

Do you have any preferences as to sex and/or color?

Male
Female
Color Preference

Who is or is going to be your veterinarian for this puppy?

Name:

Clinic:

Address:

City:

State:

Zip:

Phone:

Comments:

If you have not already done so, please visit the Havanese Club of America’s website,
www.Havanese.org, which contains a lot of wonderful information about this breed especially if you have never been owned by a Havanese before. While they are a wonderful and loving companion, they are NOT a breed for every family.

Thank you for your time in
completing this form and for your interest in obtaining
a puppy from me.
Susan